安徽医学
安徽醫學
안휘의학
ANHUI MEDICAL JOURNAL
2009年
7期
778-780
,共3页
董淮富%张帆%陈贞祥%陈信%杨小云%陈兰举
董淮富%張帆%陳貞祥%陳信%楊小雲%陳蘭舉
동회부%장범%진정상%진신%양소운%진란거
新生儿%缺氧缺血性脑病%心肌损害%心肌酶谱%心电图
新生兒%缺氧缺血性腦病%心肌損害%心肌酶譜%心電圖
신생인%결양결혈성뇌병%심기손해%심기매보%심전도
Newborn%Hypoxie-ischemic encephalopathy%Myocardia damage%Myocardial enzymogram%Electrocardiogram
目的 探讨新生儿缺氧缺血性脑病(HIE)合并心肌损害的临床特征及治疗体会.方法 对71例HIE伴心肌损害的患儿出生后48 h内进行心肌酶学测定,并做心电图检查.结果 HIE患儿各有不同的临床表现,并有心肌酶谱各项指标不同程度增高及不同类型的心电图改变;病情愈重,血清心肌酶活性愈高,心电图异常率愈高.结论 HIE患儿入院后应常规行心脏方面检测(心肌酶学、心电图),早期发现心肌损害,早期干预治疗.
目的 探討新生兒缺氧缺血性腦病(HIE)閤併心肌損害的臨床特徵及治療體會.方法 對71例HIE伴心肌損害的患兒齣生後48 h內進行心肌酶學測定,併做心電圖檢查.結果 HIE患兒各有不同的臨床錶現,併有心肌酶譜各項指標不同程度增高及不同類型的心電圖改變;病情愈重,血清心肌酶活性愈高,心電圖異常率愈高.結論 HIE患兒入院後應常規行心髒方麵檢測(心肌酶學、心電圖),早期髮現心肌損害,早期榦預治療.
목적 탐토신생인결양결혈성뇌병(HIE)합병심기손해적림상특정급치료체회.방법 대71례HIE반심기손해적환인출생후48 h내진행심기매학측정,병주심전도검사.결과 HIE환인각유불동적림상표현,병유심기매보각항지표불동정도증고급불동류형적심전도개변;병정유중,혈청심기매활성유고,심전도이상솔유고.결론 HIE환인입원후응상규행심장방면검측(심기매학、심전도),조기발현심기손해,조기간예치료.
Objective To evaluate the clinical characteristics and treatment experience of newborn with hypoxic - isehemie encepha-Iopathy and myocardia damage. Methods Electrocardiograms were examined and myocardial enzymes were measured in 96 cases of neonatal hypoxic-ischemic encephalopathy with myocardial in jury with in first 48 hours of life. Results The 71 cases were found in various clinical manifestation with different level of myocardia enzymes increaseing and various kind of ECG changes, The more serious pathogenetic condi-tion was, the higher myocardia enzymes will be, the higher abnormal electrocardiogram rate will be. Conclusion It is significant to carry out the early heart detection in newbem with HIE(myocardial enzymes, electrocardiogram). The myocardial injury should be interve -nted early.
